This educational review highlights the essential role of cardiac computed tomography (CT) in diagnosing infective endocarditis (IE), emphasizing its ability to detect valvular vegetations, perivalvular complications, and extracardiac manifestations. It also demonstrates excellent correlation with surgical findings. This review explores advanced imaging techniques, including optimized protocols, contrast dynamics, and artifact reduction strategies to enhance diagnostic accuracy.

Beyond diagnosis, cardiac CT aids surgical and therapeutic decision-making by offering detailed anatomical visualization. Early identification of complications such as pseudoaneurysms, fistulas, and systemic embolization directly impacts patient management and outcomes. Multidisciplinary collaboration is crucial, ensuring radiological findings are integrated with clinical and microbiological data for precise treatment planning.